Stop doing between-visit work for free

Are your physicians burnt out?

In February 2024, athenahealth released the results of their third annual Physician Sentiment Survey, conducted by Harris Poll. The findings were both disturbing and (sadly) expected:

  • 93% of physicians surveyed feel burnt out on a regular basis
  • 15 hours/week (on average) spent working in “pajama time” (outside normal hours)
  • 56% are considering leaving the field or no longer seeing patients

Financial pressures compound the strain: just 38% of surveyed physicians believe their practices are financially stable and less than half believe they have the resources to deliver quality care. And unfortunately, the recent Congressional measures to reduce Medicare Physician Fee Schedule cuts aren’t nearly enough to combat years of accelerating operating costs and declining reimbursements.

Two birds, one stone: Get paid for the care you provide between visits

The administrative burden on physicians and Advanced Practice Providers (APPs) has steadily crept up over the years. Individual tasks (like logging into portals to submit continuing education documentation or answering patient messages from the EHR patient portal) may seem small – but they add up to result in hours of extra daily work. 

Many practice administrators are unaware that they can monetize the work done by physicians, advanced practice providers, and clinical staff to care for their patients between visits.  Most non-face-to-face care now qualifies for Medicare reimbursement under the Chronic Care Management (CCM) program.

How much time do your clinical staff (MAs, LPNs, RNs) spend on these activities every day?


Care Coordination

Care Management

What does this look like for your practice?

Every practice handles between-visit care differently — but it’s likely a cost center.

We’ve worked with practices that have 5, 10, or more RNs or LPNs staffed to handle between-visit care — without receiving any reimbursement. And we’ve worked with others that have physicians handling between-visit care after hours — burning out their doctors in the process.

How much time has your practice spent on uncompensated between-visit care today?



How many clinical staff do you have?



How much of their day is spent on the activities above?



What is your annual labor cost?
(Here, assumption is 50% MAs at $38k and 50% LPNs at $62k)



Annual cost of uncompensated  between-visit care



The cost of uncompensated care by your clinical staff can be significant – and don’t forget that your physicians and APPs are also delivering uncompensated between-visit care.

Even relatively small amounts of time each day can really add up over a year – and result in significant costs to your practice.

Get reimbursed for the care you already provide

Stop incurring unreimbursed costs. With an in-house CCM service line, your practice can be fairly compensated for the work you are already doing for your patients. In fact, CCM can fund additional clinical staff to expand your programs and alleviate the burden on your providers. 

Learn more about building an in-house CCM service line here.

Chief Revenue Officer

Darshan has 15+ years experience co-founding and building high growth healthcare technology businesses committed to improving access to care and quality of care. More about Darshan…